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NCT02914873Active, not recruiting

SPCG17: Prostate Cancer Active Surveillance Trigger Trial

SPCG17: Prostate Cancer Active Surveillance Trigger Trial (PCASTT)

Source: ClinicalTrials.gov · Last updated 20 Jan 2026

Brief summary (registry, in English)

A large proportion of men with prostate cancer are overdiagnosed and overtreated mainly due to PSA testing. Active surveillance (AS) aims to reduce these harms by recommending curative treatment only when and if signs of tumor progression occur. There are however a number of uncertainties in AS, the most important being when to initiate treatment. The investigators are therefore starting a large randomized multicenter trial testing the safety of a standardized active surveillance protocol with specified triggers for repeat biopsies and initiation of curative treatment. The standardized protocol is compared with current practice for active surveillance. The primary aim of the study is to reduce overtreatment and subsequent side effects, without increasing the risk of disease progression or prostate cancer mortality.

Status (registry)
Active, not recruiting
Study type
Interventional
Enrollment
2008 (actual)
First submitted
20 Sept 2016
Start date
3 Oct 2016
Primary completion date
Dec 2034
Lead sponsor
Uppsala University
NCT number
NCT02914873

What you commit to

  • Study type: Interventional
  • Participants enrolled: 2008
  • From 3 Oct 2016 to the primary completion date, Dec 2034
  • 23 sites in 5 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other

  • none

Who the study is looking for

  • Recently (within 12 months) diagnosed adenocarcinoma of the prostate
  • Tumor stage less than or equal to T2a, NX, M0
  • PSA less than 15 ng/ml, PSA density less than or equal to 0.20 ng/ml/cc
  • Gleason pattern 3+3=6 (any number of cores, any cancer involvement)
  • Gleason pattern 3+4=7 (less than 3 cores (or less than 30% of cores if more than 10 cores are taken), less than 10 mm cancer in one core)
  • Life expectancy more than 10 years with no upper age limit
  • Candidate for curative treatment if progression occurs
  • Signed written informed consent

Sex: Male · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (23)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Rigshospitalet
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CopenhagenDenmarkUnknown status
Odense University Hospital
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OdenseDenmarkUnknown status
Helsinki University Hospital
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HelsinkiFinlandUnknown status
Seinäjoki Central Hospital
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TampereFinlandUnknown status
Bedford Hospital
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BedfordUnited KingdomUnknown status
Croydon University Hospital
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CroydonUnited KingdomUnknown status
Royal Marsden Hospital
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LondonUnited KingdomUnknown status
Queen Elisabeth Hospital
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LondonUnited KingdomUnknown status
Epsom and St Helier Hospital
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LondonUnited KingdomUnknown status
Guy's Hospital
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LondonUnited KingdomUnknown status
Ålesund Regional Hospital
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ÅlesundNorwayUnknown status
Oslo University Hospital
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OsloNorwayUnknown status
Hospital of Vestfold
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TønsbergNorwayUnknown status
University Hospital of North Norway
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TromsøNorwayUnknown status
St. Olavs University Hospital
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TrondheimNorwayUnknown status
Sahlgrenska University Hospital
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GothenburgSwedenUnknown status
Linkoping University Hospital
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LinköpingSwedenUnknown status
Sunderby Regional Hospital
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LuleåSwedenUnknown status
Örebro University Hospital
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ÖrebroSwedenUnknown status
Sundsvall Regional Hospital
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SundsvallSwedenUnknown status
Umeå University Hospital
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UmeåSwedenUnknown status
Akademiska University Hospital
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UppsalaSwedenUnknown status
Växjö Hospital
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VaxjoSwedenUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.